Individual provider Active NPI

Wesley David Creech, D.C.

  • Chiropractor
  • Quincy, IL
National Provider Identifier
1548424567
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011628 Issued in IL
Practice address
4800 Maine St
Quincy, IL 62305-5875
Phone
(217) 222-5800
Fax
(217) 222-7660
NPI assigned
Jul 18, 2008
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011628 IL Primary

Addresses

Primary practice location

4800 Maine St
Quincy, IL 62305-5875

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 222-5800

Other practice location 1

910 Broadway St Ste Ab
Quincy, IL 62301-2729
Phone (217) 222-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000228 IL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3173690757 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

910 Broadway St
Suite a
Quincy, IL 62301-2729
Phone (217) 222-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011628ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Dec 1, 2021 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital CurrentSince Dec 1, 2021 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Blessing Corporate Services, Inc CurrentSince Feb 1, 2017 Accepting new patients
Nothold Spine and Sports PLLC Chiropractor CurrentSince Feb 6, 2025 Accepting new patients
Blessing Corporate Services Inc CurrentSince Feb 1, 2017 Accepting new patients

Locations

1005 Broadway St
Quincy, IL 62301

332 S 36th St
Ste 3
Quincy, IL 62301
Phone (217) 214-2692

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

910 Broadway St
Ste A
Quincy, IL 62301
Phone (217) 222-5800

910 Broadway St
Ste Ab
Quincy, IL 62301
Phone (217) 222-5800

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1548424567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-222-5800",
            "fax_number": "217-222-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055875",
            "telephone_number": "217-222-5800",
            "fax_number": "217-222-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Broadway St Ste Ab",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012729",
            "country_code": "US",
            "telephone_number": "217-222-5800",
            "fax_number": "217-222-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREECH",
        "first_name": "WESLEY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.